Did Ray imagine a wife and daughter or are they missing?
The accident site has the "get well soon" balloon, and the camera focuses on this, it is also seen at the hospital - coinsidense?
After the accident, His wife let him drive the car which was odd...
The dodgy organ selling he sees whilst at the hospital and the rude admin lady - sets up for the fact the hospital is doing something dodgy. The worst customer service in a film!
He gets the police in, to help find his family, referring to Abby his previous wide sometimes, but there is no evidence of anyone else other than him at the hospital.
The shrink asks Ray to go back to the site his daughter fell, the police/shrink and him then find the compact mirror and a blood stain.
Ray assumes they planted the stuff there..
The shrink then tells Ray at how he may have killed them.
He doesn't accept this and takes a gun, and goes back to the hospital, He then finds Jo and his daughter and tries to escape with them, he sees all doctors in the surgery room as the ones he has encountered before.
He proceedes to escape with Jo and his daughter and they get into the car,
In the end he was imagining it all and he killed his wife and daughter in an accident.
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